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Open AccessArticle

Association between Migrant Women’s Legal Status and Prenatal Care Utilization in the PreCARE Cohort

1
Université de Paris, CRESS, Obstetrical Perinatal and Pediatric Epidemiology Research Team, EPOPé, INSERM, INRA, 75014 Paris, France
2
Department of Obstetrics and Gynaecology, Robert Debré Hospital, AP-HP, Université de Paris, 75019 Paris, France
3
Department of Obstetrics and Gynaecology, Beaujon-Bichat Hospital, FHU PREMA, AP-HP, Université de Paris, 75018 Paris, France
4
Department of Obstetrics and Gynaecology, Louis Mourier Hospital, FHU PREMA, AP-HP, Université de Paris, 92700 Colombes, France
5
AP-HP, Hôpitaux Universitaires Pitié Salpêtrière - Charles Foix, Public Health Department, CIC 1425-EC, Sorbonne Université, INSERM, Institut Pierre Louis d’Epidémiologie et de Santé Publique, Team PEPITES, 75013 Paris, France
6
Maternity Unit, Groupe Hospitalier Paris Saint Joseph, FHU PREMA, Université de Paris, 75014 Paris, France
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2020, 17(19), 7174; https://doi.org/10.3390/ijerph17197174
Received: 14 August 2020 / Revised: 23 September 2020 / Accepted: 28 September 2020 / Published: 30 September 2020
(This article belongs to the Special Issue Health Care Access among Underserved Groups)
Barriers to access to prenatal care may partially explain the higher risk of adverse pregnancy outcomes among migrants compared with native-born women in Europe. Our aim was to assess the association between women’s legal status and inadequate prenatal care utilization (PCU) in France, where access to healthcare is supposed to be universal. The study population was extracted from the PreCARE prospective cohort (N = 10,419). The associations between women’s legal status and a composite outcome variable of inadequate PCU were assessed with multivariate logistic regressions. The proportion of women born in sub-Saharan Africa (SSA) was higher among the undocumented than that of other migrants. All groups of migrant women had a higher risk of inadequate PCU (31.6% for legal migrants with European nationalities, 40.3% for other legal migrants, and 52.0% for undocumented migrants) than French-born women (26.4%). The adjusted odds ratio (aOR) for inadequate PCU for undocumented migrants compared with that for French-born women was 2.58 (95% confidence interval 2.16–3.07) overall, and this association was similar for migrant women born in SSA (aOR 2.95, 2.28–3.82) and those born elsewhere (aOR 2.37, 1.89–2.97). Regardless of the maternal place of birth, undocumented migrant status is associated with a higher risk of inadequate PCU. View Full-Text
Keywords: legal status; undocumented migrant; prenatal care utilization; health inequalities legal status; undocumented migrant; prenatal care utilization; health inequalities
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Eslier, M.; Deneux-Tharaux, C.; Sauvegrain, P.; Schmitz, T.; Luton, D.; Mandelbrot, L.; Estellat, C.; Azria, E. Association between Migrant Women’s Legal Status and Prenatal Care Utilization in the PreCARE Cohort. Int. J. Environ. Res. Public Health 2020, 17, 7174.

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